Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,951.21 / $7,413.10	Facility		$724.44	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,047.13	Professional		$467.74	$660.69	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $457.09	Professional		$446.68	$446.68	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $6,309.57	Facility		$1,862.09	$3,235.94	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $933.25	Professional		$436.52	$588.84	$933.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $645.65	Facility		$398.11	$398.11	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,548.82	Facility		$1,479.11	$1,479.11	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,071.52	Professional		$478.63	$691.83	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $28,840.32 / $28,840.32	Facility		$6,918.31	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,248.07 / $5,248.07	Professional		$4,570.88	$5,248.07	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $758.58 / $3,801.89	Facility		$467.74	$758.58	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,096.48	Professional		$478.63	$660.69	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $125.89 / $1,096.48	Professional		$32.36	$125.89	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $676.08 / $1,047.13	Facility		$446.68	$676.08	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,122.02	Professional		$489.78	$691.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,981.07 / $8,709.64	Facility		$1,258.93	$3,981.07	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $831.76	Professional		$407.38	$562.34	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $645.65 / $645.65	Professional		$616.60	$645.65	$645.65